Louisa Health & Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 170 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 71 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 90 beds and averages 86.8 residents a day — about 96% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.24 hrs/resident/day on weekends vs 3.51 on weekdays — 7% thinner on weekends. RN hours go from 0.48 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · Dcited before2025-05-28 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, facility document review and clinical record review, the facility staff failed to notify the family/responsible party of a fall with injury for one of eight residents in the survey sample (Resident #5). The findings include: Resident #5 (R5) was admitted to the facility with diagnoses that included diabetes, chronic kidney disease, osteoporosis, hypertension, depression, and gastroesophageal reflux disease. The minimum data set (MDS) dated [DATE] assessed R5 with severely impaired cognitive skills. R5's clinical record documented a nursing note dated 4/4/25 stating, .Nurse was in the room across the hall performing wound care when Nurse was alerted to Resident being on the floor. Resident was observed on the floor on the right side of the bed in between the bed and the wall .upon assessment there was one skin tear on right elbow. Unit Manager notified, NP [nurse practitioner] notified new orders to cleanse Rt elbow skin tears with wound cleanser apply Xeroform and cover with bordered…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2025-05-28 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure a complete and accurate clinical record for one of eight residents in the survey sample (Resident #3, R3). The findings include: Medication Administration Record (MAR) was not documented on multiple times for the month of August 2024. Diagnoses for R3 included: Dementia, peripheral vascular disease, neuropathy, and diabetes. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 4/7/2025. R3 was assessed as being cognitively intact. Review of R3's medication orders documented an order dated 8/14/24 that read: Gabapentin Capsule 100 MG [milligrams] Give 2 capsules by mouth three times a day for Neuropathy. Review of R3's MAR for the month of August 2024 did not indicate the medication had been signed off as being given on 8/14/24 for the 2:00 p.m. dose and the 9:00 p.m. dose, and also not signed off as being given on 8/15/24 for the 9:00 a.m. dose and the 2:00 p.m. dose. On 5/28/25 at 12:00 p.m. the facility's nurse…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-01-26 · tag F0655 — pattern
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, and staff interview, the facility staff failed to develop a baseline care plan for the immediate care needs identified upon admission for three of 24 residents. Findings include: 1. The facility failed to develop a baseline (initial) care plan within 48 hours of admission for Resident #225 to address the immediate care of diabetes, wound care, anticoagulant therapy, or pain management. Resident #225 was admitted to the facility on [DATE]. Diagnoses upon admission included, but were not limited to Stage III high grade serous primary peritoneal carcinoma/metastatic, DM (diabetes mellitus), high blood pressure, malignant neoplasm of the peritoneum, thrombocytopenia, major depressive disorder, oral mucositis - ulcerative (mouth sores) due to antineoplastic therapy, history of pulmonary emobolis (on anticoagulant medication), and stage III pressure ulcer (open wound) to the sacral region. Resident #225's most current MDS (minimum data set) was a five day admission…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-01-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review and during a complaint investigation, the facility staff failed to ensure wound care orders were in place for one of 24 residents in the survey sample, Resident #75. Resident #75 did not have wound care orders for the treatment of two unstageable pressure ulcers that were present upon admission to the facility (06/20/22); physician orders for wound care were not obtained until 06/28/22, eight days after admission. Findings include: Resident #75 was admitted to the facility on [DATE]. Diagnoses for Resident #75 upon admission included, but were not limited to: unstageable pressure ulcer to the coccyx, unstageable pressure ulcer to the thoracic spine, retroperitoneal hematoma-probable abscess from PID [pelvic inflammatory disease], severe sepsis, acute kidney injury, high blood pressure, and protein malnutrition. The resident's most current MDS (minimum data set) was an admission assessment dated [DATE]. This MDS assessed the resident with a cognitive score of 15,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-01-26 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on family interview, resident council interview, staff interview and facility document review, the facility staff failed to promptly respond to call bells on one of two units (Residential unit). Residents and a family member reported extended wait times for staff response to call bells on the Residential unit. The findings include: On 1/24/23 at 4:13 p.m., Resident #56's family member was interviewed about quality of care/life in the facility. The family member stated she had witnessed extended response time by staff members to the call bell. The family member stated two weekends ago it took over one hour before a staff person responded to take Resident #79 to the bathroom. The family member stated that she pressed the call bell several times, got no response, and then went to the nursing station to request assistance. The family member stated it took another 15 minutes for a CNA (certified nurses' aide) to come and take Resident #79 to the bathroom. The family member stated the resident was wanting to go to a Bingo activity and was delayed because of slow staff response. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-01-26 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, the facility staff failed to ensure an as needed (prn) psychotropic medication was limited to 14-day use for one of twenty-four residents in the survey sample. Resident #44 had an order for the anti-anxiety medication lorazepam in use beyond 14 days without a documented rationale for the extended use or a designated duration for the order. The findings include: Resident #44 was admitted to the facility with diagnoses that included multiple sclerosis, asthma, atrial fibrillation, anxiety disorder, protein-calorie malnutrition, depression, hypothyroidism, insomnia, hypertension, failure to thrive and gastroesophageal reflux disease. The minimum data set (MDS) dated [DATE] assessed Resident #44 with severely impaired cognitive skills for daily decision making. Resident #44's clinical record documented a physician's order dated 12/22/22 for lorazepam (antianxiety medication) concentrate (2 milligrams/milliliter) 0.5 milliliters by mouth every 8 hours as needed for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-01-26 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review, and facility document review, the facility staff failed to notify the physician and the RP (responsible party) of a change in resident status for one of 24 residents, Resident #79. Findings were: Added to the survey sample as a closed record review, Resident #79 was admitted to the facility for Respite care after being discharged from a local hospital. At the time of the discharge from the hospital, Resident #79's family/caretakers were sick with the flu and in his best interest, had him admitted to the facility until the family illness passed. Resident #79's diagnoses included but were not limited to dementia with agitation, severe protein-calorie malnutrition, type 2 diabetes mellitus, mild cognitive impairment, adult failure to thrive, coronary artery disease, alpha thalassemia minor, prostate cancer, and major depression. An admission MDS (minimum data set) with an ARD (assessment reference date) of 11/10/2022, assessed Resident #79 as severely impaired in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-01-26 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review, and facility document review, the facility staff failed to follow their abuse policies for reporting injuries of unknown origin (bruises) for one of 24 residents, Resident #79. Findings were: Added to the survey sample as a closed record review, Resident #79 was admitted to the facility for Respite care after being discharged from a local hospital. At the time of his discharge from the hospital, his family/caretakers were sick with the flu and in his best interest, had him admitted to the facility until the family illness passed. His diagnoses included but were not limited to dementia with agitation, severe protein-calorie malnutrition, type 2 diabetes mellitus, mild cognitive impairment, adult failure to thrive, coronary artery disease, alpha thalassemia minor, prostate cancer, and major depression. An admission MDS (minimum data set) with an ARD (assessment reference date) of 11/10/2022, assessed Resident #79 as severely impaired with a cognitive summary score…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-01-26 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review and facility document review, the facility staff failed to report an injury of unknown origin to the administrator for one of 24 residents (Resident #79). Bruising that was observed on Resident #79's abdomen, hip, and arms by several nursing staff was not reported to the administrator or the DON (director of nursing) until the day of discharge from the facility. Findings were: Added to the survey sample as a closed record review, Resident #79 was admitted to the facility on [DATE] for Respite care, after being discharged from a local hospital. At the time of his discharge from the hospital, his family/caretakers were sick with the flu and in his best interest, had him admitted to the facility until the family illness passed. His diagnoses included but were not limited to: dementia with agitation, severe protein-calorie malnutrition, type 2 diabetes mellitus, mild cognitive impairment, adult failure to thrive, coronary artery disease, alpha thalassemia minor,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-01-26 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, facility document review and clinical record review, the facility staff failed to act upon pharmacy recommendations for two of twenty-four residents in the survey sample. Pharmacy recommendations for Residents #44 and #24 were not responded to and/or implemented. The findings include: 1. Resident #44's pharmacy recommendation regarding the use of the anti-anxiety medication lorazepam beyond 14 days was not responded to by the provider. Resident #44 was admitted to the facility with diagnoses that included multiple sclerosis, asthma, atrial fibrillation, anxiety disorder, protein-calorie malnutrition, depression, hypothyroidism, insomnia, hypertension, failure to thrive and gastroesophageal reflux disease. The minimum data set (MDS) dated [DATE] assessed Resident #44 with severely impaired cognitive skills for dialy decision making. Resident #44's clinical record documented a physician's order dated 12/22/22 for lorazepam (anti-anxiety medication) concentrate (2 milligrams/milliliter)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFEWORKS REHAB — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

15 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in VA